Complex Case Manager, RN

Highmark Health

Complex Case Manager RN working remotely managing the health of a panel of members. Collaborating with a multi-disciplinary team on care plans and interventions for effective outcomes.

Posted 6/24/2026full-timeRemote • Pennsylvania • 🇺🇸 United StatesSeniorLead💰 $72,700 - $116,600 per yearWebsite

About the role

Key responsibilities & impact

Maintain oversight over specified panel of members by performing ongoing assessment of members’ health management needs
Create care plans to address members’ identified needs
Ensure targeted percentage of patient goal achievement
Ensure all activities are documented and conducted in compliance with applicable requirements

Requirements

What you’ll need

High School Diploma/GED required
7 years of any combination of clinical, case management and/or disease/condition management experience
Current State of PA RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) or WV or DE or NY
Certification in Case Management preferred

Benefits

Comp & perks

Health insurance
401(k) matching
Flexible work hours
Paid time off
Professional development opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

clinical experiencecase managementdisease managementhealth management assessmentcare plan creationpatient goal achievement

Certifications

RN licensuremulti-state licensureCase Management certification